OCRAA MEMBERSHIP APPLICATION 2011

Please enter or renew my membership in the O.C.R.A.A for 2011 As follows:

Enclosed please find my check in the amount of:

___________       $25.00 - Alumni Membership (automatically renews my Charter Membership - if applicable)

___________       $150.00 - Charter Membership (new or upgraded membership for 2011)

___________       NO FEE - Young Alumni Membership

I HEREBY AGREE TO ABIDE BY ALL O.C.R.A.A RULES AND REGULATIONS AND WILL EXECUTE AN APPROPRIATE WAIVER PRIOR TO USING ANY ROWING EQUIPMENT.

Name:___________________________________

Signature:________________________________

Address:_________________________________

City:____________________  State:____________________  Zip:______________

Tel No.___________________________________  D.O.B____________________________________

Social Security No._________________________

E-Mail Address____________________________

A Full Membership packet will be sent upon receipt of your check.